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When using an Intra-Uterine Device (IUD) for birth control, there are occasions where the device will require removal or replacement. For the majority of women, removing an IUD follows the same procedure as insertion.
An IUD is a little T-shaped device that is implanted into a lady's uterus to prevent pregnancy. IUDs can be copper or hormonal.
IUDs, or the coil, is regarded as one of the best types of reversible birth control, with less than 1 in 100 women using an IUD as their contraceptive option falling pregnant every year.
This T-formed device contains a stem wrapped with copper wire and two copper sleeves. These parts discharge copper into the uterus for up to as long as 10 years. This keeps sperm from fertilising with an ovum or egg.
There are hormonal IUD choices available, however at Gynae Clinic, we use the Mirena coil, which offers the longest lasting protection. With a contraceptive lifespan of five years, the Mirena coil releases progestin in the uterus in order to prevent a pregnancy. The progestin thickens cervical mucus stopping sperm from reaching an egg. The hormone can likewise keep eggs from being discharged, and diminishes the uterine covering thus avoiding implantation.
An IUD can be removed whenever you want. The IUD is most often removed when circumstances change, typically for the follow reasons:
Typically, an IUD removal is a swift and painless procedure, when undertaken by a trained specialist. (Hysteroscopy is unnecessary unless their IUD was left in post menopause for many decades.)
When you have an IUD placed, you're secured against pregnancy from three to 10 years. The lifespan of the IUD depends on whether it is a copper coil, or a hormonal coil. The copper coil lasts for three to five years, and the hormonal coil lasts between five and ten years.
As part of a general health routine, ladies utilizing the IUD should check that it is in place every month. Once a coil is inserted properly, the strings will hang down into your vagina. You can check that the IUD is still properly in place by checking for these strings. You shouldn't be able to touch the IUD itself, just the strings.
You should contact your specialist if:
When a copper IUD is inserted, you may experience heavier periods accompanied by menstrual cramping. This is normal. Most women find that their cycles regulate within a few months after insertion.
A Consultant Gynaecologist at Gynae Clinic will remove your IUD, and can insert a new one during the same appointment if so needed.
This device can be provided at any point in your cycle; however it is easier to carry out during the latter part of your menstrual cycle as cervix is softer and more elastic.
Coil removal is generally a comfortable and easy procedure, and there are not normally any complications.
At times, problems may occur during the removal of an IUD.
There is a small chance that the IUD may not expel completely. This can occur if the specialist is not able to find the IUD strings, which happens if the strings were cut too short during insertion.
The specialist may be forced to use an ultrasound to find the strings, and need additional instruments to help release the coil from the uterus, i.e. a cytobrush or an IUD hook.
Rarely, the device moves into the uterine wall and in this situation a hysteroscopic procedure, under anaesthesia, is necessary.
One of our specialist consultant gynecologists has the facilities and expertise to fit or remove your coil as delicately and effortlessly as possible. There is no need to worry regarding the insertion or removal procedure. We have specifically designed gynaecological couches to assists with the insertion or removal of coils even if you are anatomically irregular.
You can book a coil fitting meeting with us without requiring a referral from another specialist and we generally offer same day appointments. You will be offered a specialist for your appointments who will give advice and, at the same time, fully support you if you are having problems or complications.
Ground Floor, 117A Harley St,
Marylebone, London W1G 6AT, UK
Gynae Clinic is a website designed to inform our patients about gynaecological services delivered at Medical Express Clinic at 117a Harley Street. In the event that patients are seen by a clinician, this will be arranged at Medical Express Clinic which is registered in the United Kingdom with the Care Quality Commission to provide healthcare services.